A. Emre YILDIRIM, Reskan ALTUN, Serkan ÖCAL, Enver AKBAŞ, Murat KORKMAZ, Haldun SELÇUK, Uğur YILMAZ

Nadir bir hemotokezya olgusunda farklı bir tedavi yaklaşımı

Hematokezya çoğunlukla kolon kaynaklı kanamayı gösterir. Fakat özellikle ciddi hematokezya üst gastrointestinal sistem kökenli bir kanamadan da kaynaklanabilir. Burada nadir bir hematokezya nedeni olarak kardiada kanayan polibi olan ve tedavisinde de başarılı endoskopik bant ligasyonu uygulanan bir hastayı bildiriyoruz.

Anahtar Kelimeler:

Hematokezya, bant ligasyonu

Alternative treatment of a rare cause of hematochezis

Although hematochezia generally indicates bleeding from colonic lesions, serious hematochezia can result from the upper gastrointestinal system as well. Here, we report a rare but serious case of upper gastrointestinal hemorrhage from a cardiac polyp presenting with hematochezia. The patient was successfully treated with endoscopic band ligation.

Keywords:

Hematochezia, band ligation,

PDF

___

Current Diagnosis & Treatment in Gastroenterology Ed: Friedman, Scott L.; McQuaid, Kenneth R.; Grendell, James H. Publisher: McGraw-Hill Edition: 2nd Edition.
Garcia-Tsao G, Sanyal AJ, Grace ND, et al. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepa- tology 2007; 46: 922-38.
Misra SP, Dwivedi M, Misra V, et al. Endoscopic band ligation as salva- ge therapy in patients with bleeding peptic ulcers not responding to in- jection therapy. Endoscopy 2005; 37: 626-9.
Lecleire S, Antonietti M, Iwanicki-Caron I, et al. Endoscopic band ligati- on could decrease recurrent bleeding in Mallory-Weiss syndrome as compared to haemostasis by hemoclips plus epinephrine. Aliment Phar- macol Ther 2009; 30: 399-405.
Alis H, Oner OZ, Kalayci MU, et al. Is endoscopic band ligation superi- or to injection therapy for Dieulafoy lesion? Surg Endosc 2009; 23: 1465-9.